| NPI | 1114492840 |
|---|---|
| Former Name | KELLI ANN PRAFKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61083855) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60569013) |
| 104100000X Social Worker (Licence: WA LW61083855) | |
| 104100000X Social Worker | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-12-13 |