| NPI | 1730491424 |
|---|---|
| Former Name | STEPHANIE M TRUMBULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60996164) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60253597) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-12-06 |