| 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 |