| NPI | 1033596945 |
|---|---|
| Former Name | KIMBERLY MARIE SLOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 002994) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-10423) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |