| 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 |