| NPI | 1306413505 |
|---|---|
| Former Name | CADIE ALISE ENGELKING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2818) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2022-02-24 |