| NPI | 1841763570 |
|---|---|
| Former Name | STEPHANIE WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15101) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12936) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2022-08-29 |