| NPI | 1902235575 |
|---|---|
| Former Name | KIMBERLY KHADOO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 243316) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 243316) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-04-30 |