| NPI | 1851746648 |
|---|---|
| Former Name | KELSEY ELIZABETH SHOREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61471697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-01-04 |