| NPI | 1467415828 |
|---|---|
| Former Name | DONNA LEE KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004291) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710001198) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-11-15 |