| NPI | 1568406239 |
|---|---|
| Other Name | KITTY ELLYSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068-0000646) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC3038) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-09 |