NPI | 1851051767 |
---|---|
Former Name | STACEY FRANCES ALLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY PCSW-1151) |
Additional Taxonomies | 104100000X Social Worker (Licence: WY CSW-317) |
Enumeration Date | 2021-12-20 |
Last Update Date | 2025-05-02 |