| NPI | 1912199977 |
|---|---|
| Former Name | MISTY DAWN RUDIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006480A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33005335A) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2025-10-06 |