| NPI | 1942323100 |
|---|---|
| Former Name | KIMBERLY LYNN LEONARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004836) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC004836) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC004836) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-11-19 |