| NPI | 1578050159 |
|---|---|
| Former Name | CAITLIN CAPRICE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301018294) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MI 6301017333) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-08-17 |