| NPI | 1861907982 |
|---|---|
| Former Name | KELLY GAFFNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00599400) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NJ 37LC00272900) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-09-18 |