| NPI | 1639762396 |
|---|---|
| Former Name | KAELIE CROWDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000008465) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN LSW0000012069) |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2023-09-04 |