| NPI | 1750776746 |
|---|---|
| Former Name | KIMBERLY CLEMENTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7871) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |