| NPI | 1992085187 |
|---|---|
| Former Name | KIRSTEN PAIGE STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC006674) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-11-18 |