NPI | 1245881044 |
---|---|
Other Name | JAY STEWART |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06352) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 11481) |
Enumeration Date | 2019-09-23 |
Last Update Date | 2024-08-20 |