| NPI | 1679860522 |
|---|---|
| Former Name | JOCELYN RENEE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: GA 075846) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2024-01-31 |