| NPI | 1669413969 |
|---|---|
| Former Name | KIMBERLY JOY VAN HOUTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012324) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MI 6301012324) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301012324) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-05-19 |