| 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 |