NPI | 1831580992 |
---|---|
Former Name | KAYLA MARIE BOOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2015-02-11 |
Last Update Date | 2024-01-10 |