| NPI | 1154735579 |
|---|---|
| Professional Name | MIRANDA MARYAN HIMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 083179) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 083179) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-03-10 |