| NPI | 1851800163 |
|---|---|
| Former Name | KAYLEIGH CATHERINE WILKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2019-05-20 |