| NPI | 1861890717 |
|---|---|
| Former Name | KATELYN ELIZABETH LILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101322) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF78876) |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2023-01-05 |