| NPI | 1114438314 |
|---|---|
| Former Name | AIMEE FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 57516) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010039507) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-23 |