| NPI | 1447657846 |
|---|---|
| Former Name | KYLEE OGDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 10834613-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 9759410-3503) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-10-27 |