NPI | 1558747014 |
---|---|
Former Name | KENDALL L FIELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY LPCCCA00221275) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 00221275) |
Enumeration Date | 2015-08-07 |
Last Update Date | 2018-05-29 |