NPI | 1538478482 |
---|---|
Former Name | KELLY ARNET MARCELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65259) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-09-27 |
Last Update Date | 2024-08-01 |