| NPI | 1679939052 |
|---|---|
| Former Name | KAYLA ALDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID SE-203754) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-01-30 |