| NPI | 1093931156 |
|---|---|
| Former Name | JUDY KAY MCKIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 1650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-473382-12) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-01-25 |