| NPI | 1124284138 |
|---|---|
| Former Name | MALLORY A MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10112) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2020-02-07 |