| NPI | 1073363461 |
|---|---|
| Former Name | KELLIE ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |