| NPI | 1821744103 |
|---|---|
| Other Name | MIMI WALKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 7821) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-09-22 |