NPI | 1235524505 |
---|---|
Former Name | KAYLA GARCIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0183451) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0163351) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2019-01-31 |