| NPI | 1669875167 |
|---|---|
| Former Name | KELSEY CAROLINE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9512633-3501) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-09-02 |