NPI | 1043693161 |
---|---|
Other Name | KASEY LEE REKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6192) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 10566) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2021-03-12 |