| NPI | 1699127423 |
|---|---|
| Former Name | KAYLA ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 253753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 252044) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2023-06-16 |