| NPI | 1285202655 |
|---|---|
| Former Name | KELSIE CHRISTINA ROMAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11714) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA 004449) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-02-15 |