| NPI | 1720594468 |
|---|---|
| Professional Name | KELLI ANNE O'ROURKE-WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114085) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95403) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-07-17 |