| NPI | 1720275738 |
|---|---|
| Former Name | STACEY ESSENFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5736-C) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2021-06-25 |