| NPI | 1225356843 |
|---|---|
| Former Name | BRIENNE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75071) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118764) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2020-04-01 |