| NPI | 1093001182 |
|---|---|
| Other Name | JESSICA A STONE EWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0003122) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3122) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 0003122) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2021-09-23 |