| NPI | 1477127173 |
|---|---|
| Former Name | KAYLA MARIE BEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2410837) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 177958) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-05-28 |