| NPI | 1073772208 |
|---|---|
| Former Name | KIMBERLY W COLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006814) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN LSW0000006886) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2019-08-19 |