| NPI | 1750048427 |
|---|---|
| Professional Name | MICKIE JANE SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC302858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 09165) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |