| NPI | 1770985731 |
|---|---|
| Former Name | KATLYN ALLERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP5885) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2016-07-18 |