| NPI | 1275952475 |
|---|---|
| Former Name | KIMBERLY MENSINGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH E.1700279) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-11-18 |