| NPI | 1821428046 |
|---|---|
| Former Name | CYNTHIA ANN STEPHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000653) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DE PC-0000653) |
| 101YP2500X Counselor, Professional (Licence: DE PC-0000653) | |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2024-01-30 |