| 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 | 1041C0700X Social Worker, Clinical (Licence: SC 17182) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-10-01 |