NPI | 1245740612 |
---|---|
Former Name | BILLIE JO STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61099307) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60809394) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2017-10-11 |
Last Update Date | 2021-11-24 |