NPI | 1588751465 |
---|---|
Other Name | KELLY D. STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926143) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 4054) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-05-20 |