NPI | 1013283282 |
---|---|
Former Name | KRISTEN M CAUDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2012-03-31 |
Last Update Date | 2014-10-09 |