| NPI | 1104425610 |
|---|---|
| Former Name | MCKINLEY EADES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5213C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 5107G) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2022-12-21 |