| NPI | 1740978659 |
|---|---|
| Former Name | CAITLYN LOVELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002480) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-05-06 |