| NPI | 1629438197 |
|---|---|
| Former Name | KYLIE ANN WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2021-10-01 |