| NPI | 1285060970 | 
|---|---|
| Professional Name | MIMI ELIZABETH GARDNER SUGGS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003903A)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149005389)  | 
| Enumeration Date | 2013-09-25 | 
| Last Update Date | 2021-05-17 |