| NPI | 1073990255 |
|---|---|
| Former Name | MAYME HELEN STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7404) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 0006415) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2021-07-26 |