| NPI | 1154348027 |
|---|---|
| Former Name | MIA D MUMFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004822A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 2028-C) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-05-18 |