NPI | 1588095392 |
---|---|
Former Name | KELLEY CATHERINE MCLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 68734) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68734) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2024-11-07 |