| NPI | 1669290169 |
|---|---|
| Former Name | MIRANDA NICHOLE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2024036778) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M-11160) |
| 104100000X Social Worker (Licence: IL 150114368) | |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |