| NPI | 1740570704 |
|---|---|
| Former Name | KEELY E COVERDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 6157) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 6157) |
| 101YP2500X Counselor, Professional (Licence: VA 0701004888) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2018-07-05 |