| NPI | 1093252090 |
|---|---|
| Former Name | MIRANDA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 9703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 097471-01) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1141876) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2026-05-19 |