NPI | 1518350834 |
---|---|
Former Name | KAYLA NICOLE HARDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ND 822-2-15-15) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 822-2-15-15A) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2018-03-17 |