| NPI | 1477800928 |
|---|---|
| Former Name | KELLE ANNE-KASNER KIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4149) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48625) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-06-11 |