| NPI | 1629708078 |
|---|---|
| Former Name | MACKINZEE LYNN SLATTERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 21313) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 8585) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-02-03 |