| NPI | 1871003020 |
|---|---|
| Former Name | KATELYN LANAE OLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF61524133) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60347230) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2024-05-22 |