| NPI | 1588175426 |
|---|---|
| Former Name | KAYLA SALOMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801115988) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801100885) |
| 104100000X Social Worker (Licence: MI 6801115988) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-03-16 |