NPI | 1699067157 |
---|---|
Former Name | SELENA KEYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MS C8246) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-05-03 |
Last Update Date | 2023-08-09 |