NPI | 1841082492 |
---|---|
Former Name | KATELYN WARGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043890B) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043890A) |
Enumeration Date | 2025-05-20 |
Last Update Date | 2025-06-17 |