| NPI | 1174762884 |
|---|---|
| Former Name | KELLY AMANDA PAPROTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2008035918) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC2249) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2012-10-09 |