| NPI | 1881040574 |
|---|---|
| Former Name | ALLYSON CARTER STUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75808) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 75808) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2022-06-06 |