| NPI | 1528615903 |
|---|---|
| Former Name | KAYELA KIM ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH na) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |