| NPI | 1679154892 |
|---|---|
| Former Name | AVERY REDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11542668-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-02-13 |