NPI | 1922394337 |
---|---|
Former Name | KELLEY MCCAFFERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NH 1082) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-06-23 |
Last Update Date | 2015-04-17 |