| NPI | 1386129823 |
|---|---|
| Former Name | KELSEY LOGDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 283588) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2024-02-19 |