| NPI | 1093056137 |
|---|---|
| Former Name | JULIE MIMIAGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2023-01-13 |