| NPI | 1609350875 |
|---|---|
| Former Name | KAYLEE RENE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118845) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93905) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-12-10 |