| NPI | 1437499886 |
|---|---|
| Former Name | KATELYN ELIZABETH BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 13747) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2015-04-08 |