| NPI | 1275612442 |
|---|---|
| Former Name | KELLEY D RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-06889) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM X-05589) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-05-26 |