| 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 |