NPI | 1386052942 |
---|---|
Professional Name | KELSEY MARIE KENNEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60344343) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA PY60344343) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2015-03-19 |