| NPI | 1215274600 |
|---|---|
| Former Name | KAYLEE VICTORIA STIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 084128) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 011574) |
| 1041C0700X Social Worker Clinical (Licence: SC 14819) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2022-04-18 |