| NPI | 1942692520 |
|---|---|
| Former Name | KELSEY BREKKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 6435125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2022-09-27 |