NPI | 1861797318 |
---|---|
Former Name | KIMBERLY DAWN KRIPPAEHNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60288353) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-01-13 |
Last Update Date | 2015-08-03 |