| NPI | 1053565663 |
|---|---|
| Former Name | KELLY MONTROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 72076937) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2012-02-28 |