NPI | 1538582556 |
---|---|
Former Name | KIMBERLY RENEE TOMLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-01-27 |
Last Update Date | 2019-02-06 |