NPI | 1457608697 |
---|---|
Former Name | STACEY CHATFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 101774) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101774) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2025-04-24 |