| NPI | 1740469477 |
|---|---|
| Former Name | KELLY L LOTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082370-01) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2025-07-02 |