| NPI | 1306247465 |
|---|---|
| Former Name | KIMBERLY A WEINGARTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9612-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16157) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2022-01-19 |