| NPI | 1134503105 |
|---|---|
| Former Name | KIMBERLY TURECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0004471) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2016-09-29 |