| NPI | 1700266947 |
|---|---|
| Former Name | KAYLA ELIZABETH BATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MS 631161) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2023-11-15 |