| NPI | 1952873440 |
|---|---|
| Former Name | KYLEE ANN CROOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 128261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2025-01-28 |