| NPI | 1043627011 |
|---|---|
| Former Name | STEPHANIE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008813) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-12-29 |