| NPI | 1033596077 |
|---|---|
| Former Name | KAITLYN ELIZABETH CANTWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014510) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.008679) |
| 101YP2500X Counselor, Professional (Licence: IL 180.010378) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-05-03 |