NPI | 1073051637 |
---|---|
Former Name | KELLY SNEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16388) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW11180) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2020-11-05 |