NPI | 1548942287 |
---|---|
Other Name | KAIA FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11431-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 7353-226) |
101YM0800X Counselor, Mental Health (Licence: WI 11431-125) | |
Enumeration Date | 2023-08-02 |
Last Update Date | 2024-12-31 |