| NPI | 1205614500 |
|---|---|
| Former Name | KATELYN MULLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10985-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 229184) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2026-06-11 |