| NPI | 1578037867 |
|---|---|
| Former Name | KAYLA IVANNA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2026-01-16 |