| NPI | 1023184454 |
|---|---|
| Former Name | KALI K GILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 1-777-1) |
| 101YM0800X Counselor, Mental Health (Licence: ME cc6364) | |
| 101YM0800X Counselor, Mental Health (Licence: MA 6649) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-03-24 |