| NPI | 1083169601 |
|---|---|
| Former Name | KELLEY VALLENTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000744) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801096082) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2024-01-04 |