NPI | 1346587003 |
---|---|
Former Name | STACY MICHELLE TOWNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60278527) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60278527) |
Enumeration Date | 2013-01-14 |
Last Update Date | 2019-09-25 |