NPI | 1598141251 |
---|---|
Former Name | CAITLIN KOLMAN-MANDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 101005-1) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-08-05 |
Last Update Date | 2018-03-17 |