NPI | 1851074447 |
---|---|
Former Name | KIMBERLY D MCCLAY SLUSSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: NY 175T00000X) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2023-08-09 |
Last Update Date | 2023-08-09 |