| NPI | 1750996708 |
|---|---|
| Former Name | KELSEY GUYETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 099898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.025795) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2025-03-05 |