| NPI | 1407167091 |
|---|---|
| Former Name | STACY TIMLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15989) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 15989) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2023-10-27 |