NPI | 1457060105 |
---|---|
Former Name | GINA L STANFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC SW.15712CP) |
Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06513500) |
1041C0700X Social Worker, Clinical (Licence: NJ 44SC06144700) | |
Enumeration Date | 2022-11-22 |
Last Update Date | 2023-03-02 |