| NPI | 1386370385 |
|---|---|
| Former Name | KIMBERLY ANN FIELDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22446) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4701) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-08-31 |