| NPI | 1295253771 |
|---|---|
| Former Name | KAYLEEN PEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.013234) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2023-03-02 |