| NPI | 1518286673 |
|---|---|
| Former Name | KIMBERLY GRISWOLD DOTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5092) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 3393) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-06-06 |