NPI | 1144914490 |
---|---|
Former Name | SARAH MARIE MCINTYRE STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10023471) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-06-07 |
Last Update Date | 2024-03-19 |