| NPI | 1861435844 |
|---|---|
| Former Name | KIMBERLY GIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4088) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 346) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-06-13 |