| NPI | 1487702734 |
|---|---|
| Former Name | KIMBERLY ANNE BANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 44954) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60210690) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-03-03 |