| NPI | 1740720853 |
|---|---|
| Former Name | KAYLEE E BURNHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2118) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2020-11-09 |