| NPI | 1548898737 |
|---|---|
| Former Name | KAITLYN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 293457) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-08-06 |