| NPI | 1801407531 |
|---|---|
| Former Name | FAWN M LIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010641A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4526) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2023-12-05 |