NPI | 1871984435 |
---|---|
Other Name | KENYA TANDALAYA STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
103K00000X Behavior Analyst | |
Enumeration Date | 2015-02-18 |
Last Update Date | 2015-02-19 |