NPI | 1003278797 |
---|---|
Other Name | DEBRA A. BANDY-KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 35691) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 12258842) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2025-02-05 |