| NPI | 1679933725 |
|---|---|
| Former Name | KELLI J. THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4706) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4706) |
| 104100000X Social Worker (Licence: NE 1621) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1621) | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-03-03 |