| NPI | 1932265170 |
|---|---|
| Other Name | STACIE HARRIS-THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA psy17974) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA psy17974) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: CA psy17974) | |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2022-02-11 |