| NPI | 1114441904 |
|---|---|
| Former Name | JEANNETTE INEZ STALLINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: I.1700435) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1700435) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2020-02-25 |