NPI | 1386044618 |
---|---|
Other Name | KEILAH STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH SP00647) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OH 3089284) |
Enumeration Date | 2014-08-22 |
Last Update Date | 2019-10-31 |