| NPI | 1134528789 |
|---|---|
| Former Name | KAITLIN ALLEY MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121571) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 222047) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2019-07-17 |