| NPI | 1205285566 |
|---|---|
| Former Name | KELLIE CANGELOSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7926-C) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-10-04 |