| NPI | 1598848400 |
|---|---|
| Former Name | KELLY K MCEWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05318700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05284600) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-05-11 |