| NPI | 1710218797 |
|---|---|
| Other Name | MIA NICOLE POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008028) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2022-12-09 |