| NPI | 1285824573 |
|---|---|
| Former Name | KIMBERLY J DEFENBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI 3644) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 7339-123) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2020-06-10 |