| NPI | 1558851006 |
|---|---|
| Professional Name | KYLIE LOUISE MALMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021040954) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2021-11-12 |