| NPI | 1326404765 |
|---|---|
| Former Name | KIMBER LAUREN CHORAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 269513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-08-15 |