| NPI | 1891319976 |
|---|---|
| Former Name | STACEY MUMBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-09-05 |