| NPI | 1750412375 |
|---|---|
| Former Name | STEPHANIE ANN COSPELICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 61170400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 60400) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-02-02 |