| NPI | 1740978659 |
|---|---|
| Former Name | CAITLYN LOVELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002480) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009925082) |
| 172A00000X Driver | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2025-03-26 |