| NPI | 1083117972 |
|---|---|
| Former Name | KIMBERLY DELAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018012716) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018012716) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-03-25 |