NPI | 1770720195 |
---|---|
Professional Name | JODY STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60184226) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00056611) |
Enumeration Date | 2009-01-08 |
Last Update Date | 2019-04-25 |