| NPI | 1114426848 |
|---|---|
| Former Name | KELSEY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 15-0037) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 59451) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |