| NPI | 1730312430 |
|---|---|
| Former Name | KELLY DENISE BELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: AR 11-09AE-PL) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103T00000X Psychologist (Licence: AR 09-45AE-PL) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2012-05-01 |