| NPI | 1750801122 |
|---|---|
| Former Name | EMILY KELLEY HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3727) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3727) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-02-04 |