NPI | 1235456393 |
---|---|
Former Name | KIMBERLY A HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926768) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: SC 9376) | |
Enumeration Date | 2010-04-29 |
Last Update Date | 2024-02-01 |