| NPI | 1811328404 |
|---|---|
| Former Name | MARY LEE MIRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C1100601) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0901461) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2022-06-13 |