| NPI | 1619273711 |
|---|---|
| Former Name | ABIGAIL L MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0149931) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007702) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2012-07-02 |