| NPI | 1720205784 |
|---|---|
| Former Name | ALLISON MARIE KIMBALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-04-13 |