| NPI | 1164043741 |
|---|---|
| Former Name | KELSEY JO ZETTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61448326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L14142) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2024-12-09 |