NPI | 1588130272 |
---|---|
Former Name | STEPHANIE KAUFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.022345) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2018-10-19 |
Last Update Date | 2023-03-23 |