| NPI | 1821683590 |
|---|---|
| Former Name | KIMBERLY SHEPHERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-06-18 |