| NPI | 1831852441 |
|---|---|
| Former Name | KIMBERLY L RUTHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 19999) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19088) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-10-18 |