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 | 171M00000X Case Manager/Care Coordinator |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2013-05-02 |
Last Update Date | 2023-02-16 |