| NPI | 1568075695 |
|---|---|
| Former Name | KAITLYN JO CONNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 01546) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 3003) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2026-07-20 |