| NPI | 1366948580 |
|---|---|
| Former Name | KAILA LEIGH NORTHCUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW.09927312) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001548) |
| 104100000X Social Worker (Licence: CO LCSW.09927312) | |
| 104100000X Social Worker | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2021-05-10 |