NPI | 1932119948 |
---|---|
Former Name | KIMBERLY KIRSTIN GABIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 6079) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 6079) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2018-05-29 |