| NPI | 1164626339 |
|---|---|
| Former Name | KELLY KIMBERLY ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137403) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-08-24 |