NPI | 1184185266 |
---|---|
Former Name | MARIAH K STEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29688) |
Additional Taxonomies | 104100000X Social Worker (Licence: ND 5655) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2023-09-14 |