| NPI | 1336863059 |
|---|---|
| Former Name | KAITLIN DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME XL6881) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME XL6881) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-07-30 |