| NPI | 1073988267 |
|---|---|
| Former Name | KAITLYN ALEXANDRA KURZDORFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9922301) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-01-04 |