| NPI | 1235445156 |
|---|---|
| Former Name | KELLY ANN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 0472159) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |