| NPI | 1952445264 |
|---|---|
| Former Name | KIMBERLY APRIL LOUIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS #21701) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCS#21701) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2013-12-09 |