| NPI | 1437351962 |
|---|---|
| Former Name | PRISCILLA ANN KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM 1-07704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 3128) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-07-20 |