| NPI | 1326664848 |
|---|---|
| Former Name | KAYLA EMMA ST JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126842) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2023-08-31 |