| NPI | 1184098691 |
|---|---|
| Former Name | STEPHANIE PAVER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 129849) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW024538) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-05-06 |