| NPI | 1124632229 |
|---|---|
| Former Name | KELLI FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5688C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 4489G) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2025-12-17 |