NPI | 1194074161 |
---|---|
Former Name | ELIZABETH FRAKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254180) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7428) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2020-02-28 |