| NPI | 1740802925 |
|---|---|
| Former Name | EMILY NICOL STOUTSENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61042147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2022-08-29 |