| NPI | 1154625101 |
|---|---|
| Former Name | CAROLINA ANNA KELLENBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 009908) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1266) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1220) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 4216) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-12-02 |