| NPI | 1740447770 |
|---|---|
| Former Name | KELLY LORA HORRIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1768) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 2006034117) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2017-11-14 |