| NPI | 1073984266 |
|---|---|
| Professional Name | KIM WISE GASTINELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 47-5122250) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-03-24 |