| NPI | 1235796509 |
|---|---|
| Former Name | KIMBER SUZANNE MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL ISW12327) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW12327) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2024-03-03 |