| NPI | 1902040249 |
|---|---|
| Former Name | STACIE BATEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0120951) |
| 104100000X Social Worker (Licence: NM X-06231) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2014-05-29 |