NPI | 1528207453 |
---|---|
Former Name | SANDRA BELL RENFRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1179) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0604) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2018-06-29 |