| NPI | 1659645927 |
|---|---|
| Former Name | MERCEDES STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 64645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW32387) |
| 104100000X Social Worker (Licence: CA ASW32387) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2014-12-02 |