| NPI | 1194942482 |
|---|---|
| Former Name | KIMBERLY DERUYCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 653) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 281) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-01-30 |