| NPI | 1568992956 |
|---|---|
| Former Name | KAITLYN AMANDA DOWNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801108375) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-04077) |
| 104100000X Social Worker (Licence: MI 6802088649) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2023-04-11 |