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 |