| NPI | 1932760683 |
|---|---|
| Former Name | ALEXANDRIA LYNN KOSISKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10543) |
| 101YM0800X Counselor, Mental Health (Licence: NC 11924) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-05-06 |