| NPI | 1750781878 |
|---|---|
| Former Name | KAITLYN SHEILDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401014427) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401014427) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-01-06 |