| NPI | 1962801795 |
|---|---|
| Former Name | STEPHANIE MARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2019-11-07 |