| NPI | 1760723712 |
|---|---|
| Former Name | KIMBERLY J HUTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1014) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15970-132) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2025-02-18 |