| NPI | 1649570334 |
|---|---|
| Former Name | KIMBERLY NICOLE WRZECIONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: OH P.07989) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2023-01-25 |