NPI | 1518543792 |
---|---|
Former Name | STEPHANIE E KAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004459A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88001292A) |
Enumeration Date | 2021-03-19 |
Last Update Date | 2024-03-28 |