| NPI | 1912532912 |
|---|---|
| Former Name | KELSI DAWN JENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 99865) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 19103200) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2025-10-22 |