| NPI | 1679993877 |
|---|---|
| Former Name | KERI LYNN WIMBERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001136A) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2014-04-27 |