| NPI | 1639348329 |
|---|---|
| Former Name | WENDY NICHOLS KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4867) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: NC 4867) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2022-08-31 |