| NPI | 1609494335 |
|---|---|
| Former Name | KAYLA SCHNEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7274) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129433-121) |
| 1041C0700X Social Worker, Clinical (Licence: MN 21465) | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |