| NPI | 1023608825 |
|---|---|
| Former Name | SIMONE KENDALL INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009011A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149023938) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2024-05-23 |