| NPI | 1972938132 |
|---|---|
| Former Name | KELLY LYNN AMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401012214) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101006468) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |