| NPI | 1629774484 |
|---|---|
| Former Name | GRACIE PRINGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 05315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03343) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2026-03-04 |