| NPI | 1326481235 |
|---|---|
| Former Name | KAYLA J. FONTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085246-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086126-1) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2018-04-11 |