| NPI | 1417428061 |
|---|---|
| Former Name | KELSEY PAULSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60927952) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60756174) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2021-01-16 |