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 |