| NPI | 1386343069 |
|---|---|
| Former Name | CATHERINE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: OH RN.295969) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |