| NPI | 1720126246 |
|---|---|
| Former Name | KELLY A SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114595) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 213235) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-05-30 |