| NPI | 1508976291 |
|---|---|
| Former Name | KIM ELIZABETH TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1309095) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 04459) |
| 101YP2500X Counselor, Professional (Licence: TX 17995) | |
| 101YP2500X Counselor, Professional (Licence: NV cp0007) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-11-20 |