| NPI | 1588998900 |
|---|---|
| Former Name | KIMBERLY LO STUDEBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005895) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2021-01-21 |