NPI | 1689821951 |
---|---|
Former Name | KELLY ANN CAPRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001585) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8161) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2013-06-21 |