| NPI | 1750097515 |
|---|---|
| Former Legal Business Name | KELSEY PIETRO INC |
| Entity Type | Organization |
| Authorized Contact | KELSEY MICHELLE PIETRO Owner 310-266-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-07-20 |