| NPI | 1700837564 |
|---|---|
| Former Name | KELLY JEAN FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I0009973-Supv) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3534) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-10-15 |