| NPI | 1285264366 |
|---|---|
| Former Name | KAITLIN NICOLLE HURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801114335) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6801106287) |
| 1041C0700X Social Worker Clinical (Licence: MI 6851106287) | |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2023-05-04 |