| NPI | 1235695917 |
|---|---|
| Former Name | KATELYN TROXELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2023-12-07 |