| NPI | 1124227749 |
|---|---|
| Former Name | KIMBERLEE DAWN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 370045EN) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2021-03-25 |