NPI | 1073990255 |
---|---|
Former Name | MAYME HELEN STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010214A) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN 0006415) |
1041C0700X Social Worker, Clinical (Licence: TN 7404) | |
Enumeration Date | 2015-04-27 |
Last Update Date | 2025-06-25 |