NPI | 1689744302 |
---|---|
Former Name | EMILY STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MI 6351004721) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6351004721) |
103TC1900X Psychologist, Counseling (Licence: MI 6361004766) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-08-26 |