| NPI | 1396512265 |
|---|---|
| Former Name | KAILEE ROSE MC SHANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 108869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW6444) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09932173) | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2026-03-12 |