NPI | 1295750248 |
---|---|
Former Name | KIMBERLY JORGUSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61525524) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG61111490) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-05-21 |