NPI | 1497202956 |
---|---|
Other Name | MADELINE "MIMI" TOMPKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: no license number ye) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |