| NPI | 1801190624 |
|---|---|
| Former Name | KIMBERLY CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-004017) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4017) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2021-01-14 |