| NPI | 1518690791 |
|---|---|
| Former Name | KIMBERLY KIEFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1468960522) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |