NPI | 1992272264 |
---|---|
Former Name | KAYLA ANN WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61105063) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60895976) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2022-12-02 |