| NPI | 1043464340 |
|---|---|
| Former Name | KELLY GORMLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1369) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114725) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2025-07-29 |