| NPI | 1700485661 |
|---|---|
| Former Name | KELSI LYNN MCBRAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 8347-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 8347-C) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |