| NPI | 1518282227 |
|---|---|
| Former Name | KELLI POTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-11-25 |