| NPI | 1770857948 |
|---|---|
| Former Name | KELLIE N WOLF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006335) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6335) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.006023) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2021-06-23 |