| NPI | 1689744302 |
|---|---|
| Former Name | EMILY STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6351004721) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6361004766) |
| 103TH0004X Psychologist Health (Licence: MI 6351004721) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2025-08-19 |