| NPI | 1316024581 |
|---|---|
| Former Name | KIMBERLY E MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05366900) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 44SL05289800) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-04-15 |