| NPI | 1063055333 |
|---|---|
| Former Name | KIMBERLY NESEMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019010960) |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2024-09-12 |