| NPI | 1831483239 |
|---|---|
| Former Name | KELLI FALTYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1870) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2023-03-28 |