| NPI | 1750897302 |
|---|---|
| Former Name | KARLA MAE BURKHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 264745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2321) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2021-04-06 |