NPI | 1336587724 |
---|---|
Former Name | KIMBERLY SCHEIDEGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60662430) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2013-06-07 |
Last Update Date | 2021-05-11 |