| NPI | 1366827321 |
|---|---|
| Former Name | KAYZANDRA LEIGH EXUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 5453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4812) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2020-12-07 |