| NPI | 1518435064 |
|---|---|
| Former Name | KIMBERLY NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60658507) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |