| NPI | 1154650307 |
|---|---|
| Former Name | KIMBERLY ANN BUSSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60398032) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00046380) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2022-06-04 |