| NPI | 1356739551 |
|---|---|
| Professional Name | KIM MARIE DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 811-12-1-14-296) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 811-12-1-14A) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2021-10-27 |