| NPI | 1366092157 |
|---|---|
| Professional Name | KIMBERLY ELLENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2861) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5712) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2026-04-29 |