| 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 |