| NPI | 1184974867 |
|---|---|
| Former Name | KIMBERLY LYNN YORECUTCHIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011301) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703102803) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2019-02-28 |