| NPI | 1356660609 |
|---|---|
| Former Name | KIMBERLY WYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM CTB-2022-0932) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2022-12-28 |