| NPI | 1912412099 |
|---|---|
| Former Name | CAITLIN MUELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH17598) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH16594) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2020-11-15 |