| NPI | 1710348933 |
|---|---|
| Former Name | DESTONIE DAWN KIMPTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2506469) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 093084) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-07-02 |