NPI | 1629348305 |
---|---|
Former Name | MARHYA JUSTINE KELSCH-ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW60097) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW-1994) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2022-10-24 |