| NPI | 1578112124 |
|---|---|
| Former Name | ERIN KELLE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401016271) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-09-03 |