| NPI | 1275918146 |
|---|---|
| Professional Name | KELLISHIA T WORSHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2024-06-07 |