NPI | 1477221489 |
---|---|
Former Name | KAYLA R BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: IN 33010612A) |
Additional Taxonomies | 104100000X Social Worker (Licence: IN 99107912A) |
Enumeration Date | 2021-09-03 |
Last Update Date | 2022-12-20 |