| NPI | 1841427325 |
|---|---|
| Former Name | STEPHANIE ANNE SHEPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: RI ps01008) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |