| NPI | 1720517543 |
|---|---|
| Former Name | KIMBERLY DANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH13882) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-05-19 |