| NPI | 1467771782 |
|---|---|
| Former Name | KELLY ANN SOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180014621) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 005800-1) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701004794) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2022-09-19 |