NPI | 1124503289 |
---|---|
Former Name | KAYLA A MALOIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34009361A) |
Additional Taxonomies | 104100000X Social Worker (Licence: 33008618A) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2023-06-07 |