| NPI | 1811087919 |
|---|---|
| Former Name | KIMBERLY ANN RUEDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 1769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4067 LPC) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-07-17 |