| NPI | 1760340681 |
|---|---|
| Former Name | LAURA LEE KEDZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 21904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84749) |
| 101YM0800X Counselor, Mental Health (Licence: CA 21904) | |
| Enumeration Date | 2026-01-10 |
| Last Update Date | 2026-03-18 |