| NPI | 1972872182 |
|---|---|
| Other Name | KATHLEEN KELLY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LORRAINE KELLY Owner 702-349-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 201130254) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2017-09-27 |