| NPI | 1841613957 |
|---|---|
| Former Name | KELLY MESSING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401007561) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI C-00017) |
| 101YS0200X Counselor School (Licence: MI SC0000169) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |