| NPI | 1851578785 |
|---|---|
| Other Name | KIRSTEN JEAN SEDLAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 1139LCPC) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT 1139 LCPC) |
| 101YP2500X Counselor Professional (Licence: MT 1139) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2012-04-09 |