| NPI | 1609448158 |
|---|---|
| Former Name | ELYSE ANN KIPFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132362-121) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2024-06-20 |