| NPI | 1336528520 |
|---|---|
| Former Name | KELLEY AUNGST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009024) |
| 101YM0800X Counselor, Mental Health (Licence: GA APC003922) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-03-29 |