| 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 |