NPI | 1023594892 |
---|---|
Former Name | KIMBERLIN BORCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120914) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 90069) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2024-02-27 |