| 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 |