| 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 |