NPI | 1366870784 |
---|---|
Former Name | KARLIE RAE MCALLISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6167) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60339312) |
104100000X Social Worker (Licence: UT 7587449-3503) | |
Enumeration Date | 2013-10-22 |
Last Update Date | 2019-07-09 |