NPI | 1417172503 |
---|---|
Former Name | KELLI M NAGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0900295-SUPV) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-012055) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2025-09-08 |