| NPI | 1982989737 |
|---|---|
| Former Name | KIMBERLY ROSENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW019098) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW123009) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2016-12-29 |