NPI | 1164789848 |
---|---|
Former Name | STEPHANIE ELIZABETH SEARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925467) |
Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009921006) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2018-08-07 |