| NPI | 1275628281 |
|---|---|
| Former Name | AYISHA KELLYBREW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P0409039) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-03-18 |