| NPI | 1295159911 |
|---|---|
| Former Name | CHANDA M KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5102) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 21472) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2024-01-27 |