NPI | 1447533377 |
---|---|
Former Name | KIM KEARNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor (Licence: MA 121307) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2022-01-03 |