| NPI | 1144793407 |
|---|---|
| Former Name | KELLY KLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11000259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN11000259) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-12-04 |