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 |