| NPI | 1427529841 |
|---|---|
| Former Name | KIMBERLY KNOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 0000102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE 0000102) |
| 104100000X Social Worker (Licence: DE q3-0000250) | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2020-04-14 |