| NPI | 1598323164 |
|---|---|
| Former Name | KELLEY ENSKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC11431) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LGP9575) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-07-03 |