| NPI | 1336514314 |
|---|---|
| Former Name | CAITLIN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 5832) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2024-09-06 |