| NPI | 1336604339 |
|---|---|
| Former Name | COURTNEY STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05333) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009922095) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-02-13 |