| NPI | 1922643832 |
|---|---|
| Former Name | KELLI DENISE CORLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 5018) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2020-02-07 |