| NPI | 1992036966 |
|---|---|
| Former Name | STEPHANIE DARLEAN MBODJI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 00000000000000000000) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2020-07-13 |