NPI | 1871832196 |
---|---|
Former Name | KELLYE E FLEMMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1603035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1306064) |
Enumeration Date | 2013-02-06 |
Last Update Date | 2019-07-29 |