NPI | 1124799317 |
---|---|
Former Name | KAYLA ELAINE DURAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: ND 5316) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 5316) |
Enumeration Date | 2021-09-27 |
Last Update Date | 2022-09-29 |