| NPI | 1831764497 |
|---|---|
| Former Name | KAYLA JOE KINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-40667) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-40667) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |