NPI | 1346771516 |
---|---|
Former Name | KIMBERLY D SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05400) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 10047) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-12-09 |