| NPI | 1326297763 |
|---|---|
| Former Name | KIMBERLY ANNE LABERGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH MC11117) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC11117) |
| 1041C0700X Social Worker Clinical (Licence: 1563) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2014-10-01 |