| NPI | 1912145434 |
|---|---|
| Former Name | KIMBERLY LAUREN BONDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079475) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 078644) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2021-05-19 |