NPI | 1649848060 |
---|---|
Former Name | KAYLA DAWN MCFARLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021017625) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021017625) |
Enumeration Date | 2021-06-13 |
Last Update Date | 2022-11-21 |