| NPI | 1760651319 |
|---|---|
| Former Name | KIMBERLY ELLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2024-06-07 |