| NPI | 1174989016 |
|---|---|
| Professional Name | MARY MIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006323A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149022074) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2020-05-11 |