| NPI | 1295900363 |
|---|---|
| Former Name | KIMBERLY HAVERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008010204) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2022-09-27 |