NPI | 1033742036 |
---|---|
Former Name | KIMBERLY JAMIE RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133096) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-02-18 |
Last Update Date | 2023-01-18 |