| NPI | 1871326488 |
|---|---|
| Former Name | JANIE ANASTASIA KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2204) |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-07-01 |