NPI | 1245418425 |
---|---|
Former Name | STEPHANIE KAY KORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV IC987) |
Additional Taxonomies | 104100000X Social Worker (Licence: NV 4655-S) |
Enumeration Date | 2008-02-09 |
Last Update Date | 2016-03-14 |