| NPI | 1932184413 |
|---|---|
| Former Name | CYNTHIA G STUART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4428) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 137) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-01-26 |