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 |