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 |