NPI | 1245570308 |
---|---|
Professional Name | CAITLYN BRIANNE SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301018402) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-13-13053) |
Enumeration Date | 2013-02-26 |
Last Update Date | 2020-05-19 |