| NPI | 1932938040 |
|---|---|
| Former Name | VIVIAN KEELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: TX 1157782) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |