| NPI | 1235546243 |
|---|---|
| Other Name | STACY KAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF76907) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2017-11-02 |