| NPI | 1649894015 |
|---|---|
| Former Name | MIRANDA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21658) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 8490) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-07-31 |