| NPI | 1457763146 |
|---|---|
| Former Name | KIMBERLY GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013044075) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013044075) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-10-11 |