NPI | 1255899027 |
---|---|
Former Name | CAITLIN VAN VOORHIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1006-5-15-19-366) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 1006-5-15-19) |
Enumeration Date | 2019-03-11 |
Last Update Date | 2021-09-13 |