| NPI | 1740677780 |
|---|---|
| Former Name | KELSEY BODINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011032) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2025-10-21 |