| NPI | 1558845552 |
|---|---|
| Former Name | KIM MARIE HOULIHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: MA 1132446) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 111152) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |