NPI | 1134432974 |
---|---|
Former Name | KIMBERLEY CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9447) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923771) |
133N00000X Nutritionist (Licence: MD DX5736) | |
Enumeration Date | 2010-07-21 |
Last Update Date | 2022-09-08 |