| NPI | 1396932109 |
|---|---|
| Former Name | KIMBERLY MARIE TAMOSAITIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3708) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 1763) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2011-04-12 |