| NPI | 1497915144 |
|---|---|
| Former Name | KIMBERLY GAIL ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5556) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 856) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2021-05-17 |