| NPI | 1104242056 |
|---|---|
| Former Name | KIMBERLY WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2019-10-11 |