| NPI | 1548728215 |
|---|---|
| Former Name | KAYLA CLOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022781) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2024-12-10 |