| NPI | 1356798078 |
|---|---|
| Former Name | LACIE GRUNSKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 0001840) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001175) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-10-07 |