| NPI | 1730629379 |
|---|---|
| Former Name | KIMBERLYNN SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT123292) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT107065) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2023-09-08 |