| NPI | 1255834123 |
|---|---|
| Former Name | KATELYN STERNBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2289) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 02121) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2019-12-18 |