| NPI | 1710275961 |
|---|---|
| Former Name | KELLY LORENE HAMLIN KRUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0003598) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0153261) |
| 101YP2500X Counselor, Professional (Licence: OH E0003598) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2024-02-21 |