| NPI | 1932250560 |
|---|---|
| Former Name | CAROL R STICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR CSWA A3182) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2014-03-28 |