| NPI | 1215918099 |
|---|---|
| Former Name | KIMBERLY R STODDARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7682) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002153) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2014-03-18 |