| NPI | 1477396182 |
|---|---|
| Former Name | MYLIEKIA STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5932G) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 66899) |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2022-0791) | |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |