| NPI | 1689057838 |
|---|---|
| Former Name | KIMBERLY J. SHEPHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008814) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 006527) |
| 101YP2500X Counselor Professional (Licence: TX 75592) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-10-24 |