| NPI | 1780106500 |
|---|---|
| Former Name | CHARELL N MCKENZIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122195) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18545) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-11-15 |