NPI | 1821428046 |
---|---|
Former Name | CYNTHIA ANN STEPHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE PC-0000653) |
Additional Taxonomies | 101Y00000X Counselor (Licence: DE PC-0000653) |
101YM0800X Counselor Mental Health (Licence: DE PC-0000653) | |
Enumeration Date | 2013-11-25 |
Last Update Date | 2025-08-28 |