| NPI | 1366073322 |
|---|---|
| Former Name | KYLIE MCCARVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019030412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW020919) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2021-09-08 |