| NPI | 1356497325 |
|---|---|
| Other Name | KIMBERLY LANE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4349) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4349) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2024-08-28 |