| NPI | 1760731905 |
|---|---|
| Other Name | KELLY ANNE WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 220635) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA s13883835) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2016-04-19 |