| NPI | 1720571540 |
|---|---|
| Former Name | CODY LEE KUCHARSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA LMHC11952) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2025-03-27 |