| NPI | 1609386754 |
|---|---|
| Former Name | KIMBERLY KIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3611) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 3611) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2024-02-08 |