| NPI | 1497085385 |
|---|---|
| Former Name | KELLI LITTLEFIELD MISCHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC007122) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC 007122) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC 007122) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2019-09-26 |