| NPI | 1578946976 |
|---|---|
| Former Name | KYLA COLLECE FLUG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 5035) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10630) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2019026997) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-05-02 |