| NPI | 1215474804 |
|---|---|
| Former Name | STEPHANIE MARIE VELEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9209-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 7897-S) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2021-09-14 |