| NPI | 1215400882 |
|---|---|
| Former Name | KAYLYNN DANIELLE GAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 20106) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 7373-P) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-04-13 |