| NPI | 1508414368 |
|---|---|
| Former Name | KYLIE MARIE DEKRYGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801109983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801104448) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2021-11-16 |