NPI | 1316106503 |
---|---|
Former Name | KALYN K MEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1120) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY 1120) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2024-06-18 |