| NPI | 1164617015 |
|---|---|
| Former Name | KIMBERLY RUTH IVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 62673) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-12-26 |