| NPI | 1679942031 |
|---|---|
| Former Name | KIMBERLY BENTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2025-11-21 |