NPI | 1477983518 |
---|---|
Former Name | KELLY ROSE CLAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-11-26 |
Last Update Date | 2025-05-22 |