| NPI | 1902636350 |
|---|---|
| Former Name | KELILYN SKIDMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5527) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV 08067-IG) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 08066-LCI) | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-07-07 |