| NPI | 1932343761 |
|---|---|
| Former Name | CHERYL ANNE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-375) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |