NPI | 1770398117 |
---|---|
Former Name | KAYLA R HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025018459) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2025018459) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 19157) | |
101YM0800X Counselor, Mental Health (Licence: CA 13994) | |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-06-10 |