| NPI | 1750028866 |
|---|---|
| Former Legal Business Name | KELLE KASNER MFT LLC |
| Entity Type | Organization |
| Authorized Contact | KELLE ANNE KASNER Owner 415-290-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2025-02-26 |