| NPI | 1962924340 |
|---|---|
| Professional Name | KIMBERLY LYNN DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-05-25 |