NPI | 1376104927 |
---|---|
Former Name | MOLLY STEHBEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 9578-M) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2022-05-09 |