| 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 |