| NPI | 1326283052 |
|---|---|
| Former Name | KELLIE M GLASSMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77572) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2019-10-15 |