| NPI | 1912408550 |
|---|---|
| Former Name | KATELYN PAIGE SCORSOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24110) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT19104444) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-01-17 |