| NPI | 1902268782 |
|---|---|
| Former Name | KAYLEEN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-06-19 |