NPI | 1598333130 |
---|---|
Other Name | KIMBERLY M ANTHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC007953) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013893) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2023-05-15 |