| NPI | 1588449623 |
|---|---|
| Former Name | KAYLA ZUNKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN CC03837) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 305707) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |