| NPI | 1881001915 |
|---|---|
| Former Name | KELLIANNE JANAE MAHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105824) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-10-21 |