| NPI | 1609387729 |
|---|---|
| Former Name | LYDIA HENDRICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16908) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017035970) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2025-07-17 |