Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LPC 63 | CA |
Y | 101YP2500X | Professional Counselor | LC8984 | MD |
N | 101YP2500X | Professional Counselor | LPC 63 | CA |
N | 101YP2500X | Professional Counselor | LPC07523 | OK |
N | 101YS0200X | School Counselor | LEP2621 | CA |
N | 103TS0200X | School Psychologist | LEP2621 | CA |
NPI | 1255628731 |
---|---|
Provider Name | Kimberley Palmiotto |
First Address | Annapolis, MD 21401-3870 |
Second Address | Annapolis, MD 21401-3870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2011 |
Last Update Date | 13/05/2021 |