| NPI | 1306465703 |
|---|---|
| Former Name | KIMBERLY STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 222407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 4977) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-12-06 |