NPI | 1477339075 |
---|---|
Former Name | KAYLLA MARIE BARKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2023-09-07 |
Last Update Date | 2023-09-07 |