NPI | 1922568005 |
---|---|
Other Name | KIM MARLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011929) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C011929) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2019-03-23 |