| NPI | 1073600300 |
|---|---|
| Former Name | KIMBERLY L HILLERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker (Licence: MI 6801087375) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-07-27 |