| NPI | 1285270413 |
|---|---|
| Former Name | KELSEY MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013137) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2021-08-23 |