| NPI | 1104182336 |
|---|---|
| Former Name | KIMBERLY DAWN HUCKFELDT-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1587) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60179545) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60164858) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2020-10-29 |