| NPI | 1710136270 |
|---|---|
| Former Name | MYRA J STOVALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020017505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 3189-C) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2021-03-13 |