| NPI | 1821521444 |
|---|---|
| Professional Name | KIMBERLY RENE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: MI 7501001747) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501001747) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-12 |