NPI | 1255078028 |
---|---|
Former Name | MIRYAM STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IA 081465) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149029539) |
Enumeration Date | 2022-05-13 |
Last Update Date | 2025-06-18 |