NPI | 1457789422 |
---|---|
Former Name | BRIDGET ANN STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93595) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-10-29 |
Last Update Date | 2023-08-21 |