| NPI | 1073930467 |
|---|---|
| Former Name | MISTY HUMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 11725) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: LA 11725) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-02-18 |