| NPI | 1831693142 |
|---|---|
| Former Name | KATELYN R. HERZFELDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7661-125) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: WI 3758-226) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-12-11 |