NPI | 1023480472 |
---|---|
Former Name | KIMBERLY MARIE CORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133796) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT133796) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2024-08-16 |