| NPI | 1295289973 |
|---|---|
| Former Name | KAYLA HARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105010) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2020-04-03 |