| NPI | 1346646973 | 
|---|---|
| Former Name | STEPHANIE CARD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 174400000X Specialist | 
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 046263-21)  | 
| Enumeration Date | 2014-11-10 | 
| Last Update Date | 2021-04-07 |