| NPI | 1720799554 |
|---|---|
| Former Name | STEPHANIE SELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 21829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-19785) | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2025-11-06 |