| NPI | 1073960795 |
|---|---|
| Former Name | MAKAYLA BURKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11697949-6004) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-7003) | |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC - 6171) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2024-09-25 |