| NPI | 1679344899 |
|---|---|
| Former Name | KAITLIN MICHELE GOLDTHWAITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-69832) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |