| NPI | 1578886859 |
|---|---|
| Former Name | KIMBERLY PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 63912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 63912) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2023-11-15 |