| NPI | 1245980986 |
|---|---|
| Former Name | KAYLYN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507231) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2309141) |
| 171M00000X Case Manager/Care Coordinator | |
| 104100000X Social Worker (Licence: OH S.2102265-TRNE) | |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2026-06-04 |