| NPI | 1386037430 |
|---|---|
| Former Name | KELSEY BEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW019860) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW132163) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2022-09-28 |