| NPI | 1023237492 |
|---|---|
| Former Name | KELLI BREANNE HENSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-10-13 |