| NPI | 1538792387 |
|---|---|
| Former Name | KELLY ENGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 130921) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149.022732) |
| 1041C0700X Social Worker Clinical (Licence: NC CO13652) | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2025-01-30 |