| NPI | 1851383889 |
|---|---|
| Former Name | KIM CLARISSA WEEKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06207700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 073220) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2024-06-26 |