NPI | 1396272167 |
---|---|
Former Name | KARLIE LYNN DOMBROWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 263686) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-05-01 |