NPI | 1922549955 |
---|---|
Former Name | KELLI R. HOLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6266) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6266) |
101Y00000X Counselor (Licence: LA 6266) | |
Enumeration Date | 2017-03-09 |
Last Update Date | 2017-08-04 |