| NPI | 1366676249 |
|---|---|
| Former Name | KELLY LENN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925697) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: DC LG50078850) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2021-02-17 |