NPI | 1043391980 |
---|---|
Former Name | KELLY RENEE CLAPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0003996-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E3996) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2025-02-05 |