| NPI | 1760492060 |
|---|---|
| Former Name | SHELLEY NICOLE KERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW003981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 3400514A) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-03-11 |