| NPI | 1750635603 |
|---|---|
| Former Name | MIRANDA HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024021217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS LSCSW06408) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2026-05-27 |