| NPI | 1932766557 |
|---|---|
| Former Name | MINA BETHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 6801113677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104434) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-01-16 |