| NPI | 1477092468 |
|---|---|
| Former Name | SKYLAR MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010733) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180010733) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2024-10-30 |