| NPI | 1932403268 |
|---|---|
| Former Name | KIMBERLY ANN CLIFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 640101195) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401011995) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2021-08-27 |