| NPI | 1790920403 |
|---|---|
| Former Name | STEFANI WARMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105499) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5532) |
| 106H00000X Marriage & Family Therapist (Licence: KY 0762) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-01-24 |