| NPI | 1114276730 |
|---|---|
| Former Name | KIMBERLY ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 274) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MO 2003009071) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-03-18 |