| NPI | 1811480379 |
|---|---|
| Former Name | KATIE MARIE-NYLA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2021-07-14 |