| NPI | 1073919155 |
|---|---|
| Professional Name | KIMBERLY DIANE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14823) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 13838) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2024-02-21 |