| NPI | 1851977953 |
|---|---|
| Former Name | KIMBERLY A ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2023017145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929480) |
| 1041C0700X Social Worker, Clinical (Licence: MN 33114) | |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2025-01-23 |