| NPI | 1710398276 |
|---|---|
| Former Name | ELYSSA JOY KILMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 001532) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 2416) |
| 101YP2500X Counselor, Professional (Licence: CT 2416) | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2024-02-26 |