| NPI | 1710457551 |
|---|---|
| Former Name | KIM BEVERLY-MUHAMMAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11126) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP8962) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2024-02-16 |