| NPI | 1053847111 |
|---|---|
| Former Name | KYLIE JEAN KELLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92818) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 120845) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-10-23 |