| NPI | 1619449576 |
|---|---|
| Former Name | STEPHANIE MARIE SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 109993) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 15364) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-05-20 |