| NPI | 1215257316 |
|---|---|
| Former Name | KIMBERLY DENISE CASTILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11473) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60704251) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-04-20 |