NPI | 1558765180 |
---|---|
Former Name | KAYLA M SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: IN 74000076A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 74000076A) |
Enumeration Date | 2014-10-10 |
Last Update Date | 2023-02-28 |