| NPI | 1912300666 |
|---|---|
| Former Name | KELLY DRAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019071) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2021-03-15 |