| NPI | 1003846304 |
|---|---|
| Former Name | KELLY D WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: TX 35991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 35991) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-04-15 |