| NPI | 1245677962 |
|---|---|
| Former Name | KAITLYN ANNE SPERLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60285342) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60285342) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |