| NPI | 1992184808 |
|---|---|
| Former Name | KELSEY GERSHENHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009997) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004685) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2018-11-05 |