| NPI | 1750564191 |
|---|---|
| Former Name | KATHY MELINDA STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6848) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9444) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2024-03-21 |