| NPI | 1568188845 |
|---|---|
| Other Name | KAITLYN KALLGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02941) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-03-18 |