| 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 |