| NPI | 1336497791 |
|---|---|
| Former Name | AISHA RESHA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2451C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004677) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2022-07-21 |