NPI | 1023496163 |
---|---|
Other Name | KELLEY P HERSHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NY 005905-1) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005905) |
Enumeration Date | 2015-05-08 |
Last Update Date | 2019-05-31 |