NPI | 1205268554 |
---|---|
Former Name | JANE MELINDA STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P015292) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P008261) |
1041C0700X Social Worker, Clinical (Licence: NC P008261) | |
Enumeration Date | 2013-08-08 |
Last Update Date | 2020-11-05 |