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 |