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 |