| NPI | 1750734141 |
|---|---|
| Former Name | KAYLA RENEE WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1319) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1319) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2020-12-17 |