| NPI | 1275186520 |
|---|---|
| Former Name | KAYLER GLENN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD 4965) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |