| NPI | 1205185352 |
|---|---|
| Former Name | KELLI ANN CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NY 023581) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 023581) |
| 103TC0700X Psychologist, Clinical (Licence: NY 023581) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2019-12-17 |