| NPI | 1710854757 |
|---|---|
| Former Name | KELLY ELIZABETH FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC PA5114) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 1149122) |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |