| NPI | 1225527419 |
|---|---|
| Former Name | MACKENZIE LYNN WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 2019-02799) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 237984) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2022-08-09 |