| NPI | 1740586601 |
|---|---|
| Former Name | KELLY ERIN MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6792) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2025-06-23 |