NPI | 1992019533 |
---|---|
Professional Name | ANDREA KELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 120513) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-08-05 |
Last Update Date | 2018-09-26 |