| NPI | 1255083861 |
|---|---|
| Former Name | KATELYN KISHKUNAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 100581) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 114244-01) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2025-09-04 |