| NPI | 1538594692 |
|---|---|
| Former Name | KELLY LYNN BAAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015687) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301015687) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2026-02-17 |