| NPI | 1184740185 |
|---|---|
| Professional Name | KELLY KIEDERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-12-13 |