| NPI | 1437662640 |
|---|---|
| Former Name | CAITLIN MASSOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6181) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ND 545) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |