| NPI | 1962157487 |
|---|---|
| Former Name | KEELY MAYNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2208025) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-10-25 |