| NPI | 1396864856 |
|---|---|
| Former Name | KERRY KILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT30252) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA SPBGQWKMOZRYCHFE) |
| 225400000X Rehabilitation Practitioner (Licence: CA NA) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-09-14 |