| NPI | 1922736750 |
|---|---|
| Former Name | KELSEY GREGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc03501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305331) |
| 101YM0800X Counselor, Mental Health (Licence: MN 3501) | |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-11-29 |