| NPI | 1477297257 |
|---|---|
| Former Name | MIRREN BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-09-06 |