| NPI | 1720720360 |
|---|---|
| Former Name | KAYLA LYNN LEGARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MT BBH-MFLC-LIC-55507) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT BBS-MFLC-55507) |
| 106H00000X Marriage & Family Therapist (Licence: MT 55507) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-08-31 |