| NPI | 1639343304 |
|---|---|
| Former Name | KIMBERLY ANNE CREAMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006216) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710102002) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2021-05-12 |