| NPI | 1154628857 |
|---|---|
| Former Name | KELLY ELIZABETH BAUER HOUGHTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY29180) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65954) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY29180) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-12-18 |