| NPI | 1194149062 |
|---|---|
| Former Name | KIMBERLY R HAZEN KRIEBEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 106814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CW017885) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017885) | |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2023-10-05 |