NPI | 1275619199 |
---|---|
Former Name | KIMBERLY M HIGHLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005310) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7674-123) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-12-11 |