| NPI | 1881142016 |
|---|---|
| Former Name | STACEY SCHWENKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC LMFT000238) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001738) |
| 106H00000X Marriage & Family Therapist (Licence: MD LCM685) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2021-08-23 |