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 |