NPI | 1346689726 |
---|---|
Former Name | KYLIE S KIEFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600241) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1100605) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2016-06-17 |