| NPI | 1710338918 |
|---|---|
| Former Name | KELLY LINNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 10072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 05446) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2021-07-16 |