| NPI | 1083134472 |
|---|---|
| Former Name | KAITLYN HUMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001815-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1800888) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-06-20 |