NPI | 1629340823 |
---|---|
Professional Name | KELLEY SGROI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17027) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 003449) |
124Q00000X Dental Hygienist (Licence: CT 005958) | |
Enumeration Date | 2012-02-02 |
Last Update Date | 2021-10-28 |