| NPI | 1881824480 |
|---|---|
| Former Name | KIMBERLY AMY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3673) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 0802) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2014-07-11 |