| NPI | 1447529565 |
|---|---|
| Former Name | KYLAH ANN BERNARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 4210) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019369) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2024-11-08 |