| NPI | 1356300461 |
|---|---|
| Former Name | KIMBERLY ANNE KOVALENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AK 538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK CSWS538) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-06-02 |