| NPI | 1821289034 |
|---|---|
| Other Name | STACEY SHUMWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0600469-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 104053) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-03-17 |