| NPI | 1801243951 |
|---|---|
| Former Name | CAITLIN JESSICA MACHADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60983281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-08-05 |