NPI | 1790034007 |
---|---|
Former Name | KAYLA Y. WEDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: OK c082289433) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2019-10-14 |