| NPI | 1316337165 |
|---|---|
| Former Name | KAYLEENA NELMARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60651404) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 3242-57) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-07-27 |