| NPI | 1558899500 |
|---|---|
| Former Name | CODIE LYNN BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2019-06-11 |