| NPI | 1972847366 |
|---|---|
| Former Name | KIM ELAINE WINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008068) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC C008068) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2013-10-28 |