| 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 |