NPI | 1619998333 |
---|---|
Other Name | PRISCILLA T KELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4072) |
Additional Taxonomies | 174400000X Specialist (Licence: ME LC750) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2016-01-06 |