| NPI | 1811207095 |
|---|---|
| Former Name | KIMBERLY SHAFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |