| NPI | 1801498928 |
|---|---|
| Doing Business As | KIMBERLY KNOWLTON-YOUNG, LICSW |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KNOWLTON-YOUNG Owner 339-440-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |