NPI | 1073977476 |
---|---|
Professional Name | STEVI BLU KUYKENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6690-C) |
Additional Taxonomies | 104100000X Social Worker (Licence: AR 6690-M) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2020-09-09 |