| NPI | 1114738432 |
|---|---|
| Former Name | KELLI MICHELLE HANNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 6088G) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0903003847) | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |