| NPI | 1043281421 |
|---|---|
| Former Name | ANN M. KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00893) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005397) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2009-02-27 |