| NPI | 1861885337 |
|---|---|
| Former Name | STACEY HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME CC4849) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4440) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2023-07-24 |