NPI | 1558054155 |
---|---|
Former Name | KIMBERLY LOREN ALBERON |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2023-05-30 |
Last Update Date | 2025-01-21 |