| NPI | 1114313749 |
|---|---|
| Former Name | KELLY M HANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1420) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-12-12 |