| NPI | 1184265118 |
|---|---|
| Former Name | CAITLYNN RATLIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 61300616) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2022-11-04 |