| NPI | 1851980767 |
|---|---|
| Other Name | KELSEY LEIGH WITZLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 097.0134440) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |