| NPI | 1427244813 |
|---|---|
| Former Name | KIMBERLY ANN BARANICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005922) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC53186) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2025-08-25 |