| NPI | 1952840944 |
|---|---|
| Former Name | KELSEY RAE DELAGRANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61265187) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60714593) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-10-13 |