| NPI | 1851800841 |
|---|---|
| Former Name | KIMBERLY PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 35813) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS018354) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2025-10-03 |