| NPI | 1154555050 |
|---|---|
| Former Name | KIMBERLY BETH SANSEVERINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2025-01-09 |