| NPI | 1568054765 |
|---|---|
| Former Name | KAITLYN MARIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 7159) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-06-03 |