| NPI | 1518366673 |
|---|---|
| Former Name | KAITLYN HERRMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401222547) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001886A) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2024-02-15 |