| NPI | 1457615353 |
|---|---|
| Former Name | KELSEY DANIELLE LEROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2025-07-02 |