NPI | 1336614221 |
---|---|
Former Name | KAYLA VOORHEES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53552) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L14288) |
Enumeration Date | 2018-10-08 |
Last Update Date | 2024-11-12 |