NPI | 1093018236 |
---|---|
Other Name | JAYNE KELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 6554) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-12-09 |
Last Update Date | 2012-08-02 |