| NPI | 1679779854 |
|---|---|
| Former Name | KELLI ANNE PARNELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 8887) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-02-23 |