| NPI | 1417206491 |
|---|---|
| Former Name | CASEY CALLAHAN-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006507) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2020-01-24 |