| NPI | 1346966116 | 
|---|---|
| Former Name | KAYLEN SHANEI RODRIGUEZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2022038977) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY12175) | 
| 103TC0700X Psychologist, Clinical (Licence: NY 026616) | |
| Enumeration Date | 2022-10-13 | 
| Last Update Date | 2025-08-13 |