| NPI | 1427573229 |
|---|---|
| Former Name | KIMBERLY ANNE THORUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61106383) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2023-01-27 |