NPI | 1568758456 |
---|---|
Former Name | KELLY HELMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012353) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401012353) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2018-05-09 |