| NPI | 1720125578 |
|---|---|
| Former Name | CARLA JANE HIEBSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1412119) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2009034187) |
| 101YP2500X Counselor Professional (Licence: KS LCPC 728) | |
| 106H00000X Marriage & Family Therapist (Licence: KS LMFT 652) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2018-01-10 |