| NPI | 1477933547 |
|---|---|
| Former Name | KELSEY PHIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088366) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2019-11-13 |