| NPI | 1942353438 |
|---|---|
| Former Name | KIMBERLY J MANIERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 4694) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 4694) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-01-15 |