| NPI | 1891373007 |
|---|---|
| Former Name | JACQUELYN STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24120) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2025-08-29 |