| NPI | 1649615782 |
|---|---|
| Former Name | KELLY NOELLE OVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NH 1639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2024-12-04 |