| NPI | 1801331079 |
|---|---|
| Former Name | KAYLA MARIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012037) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010807) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2023-04-20 |