| NPI | 1073805909 |
|---|---|
| Former Name | KASEY NICOLE MCCLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60618364) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60618364) |
| 103TC0700X Psychologist Clinical (Licence: MO 2011019654) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2022-06-21 |