| NPI | 1417589458 |
|---|---|
| Former Name | STEPHANNIE TAMAYO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW022859) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-06-23 |