| NPI | 1649476342 |
|---|---|
| Former Name | KAYLA MARIE WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51756) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2012-07-20 |