| NPI | 1538977624 |
|---|---|
| Former Name | KAILEE BROOKE NOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 291024) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 291024) |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-26 |