NPI | 1326161894 |
---|---|
Former Name | STACIE BILOWZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2091) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114362) |
1041C0700X Social Worker, Clinical | |
1041S0200X Social Worker, School (Licence: MA 433810) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2018-02-06 |