NPI | 1962765867 |
---|---|
Former Name | CAITLIN G. MOSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6129-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 6129-125) |
Enumeration Date | 2012-06-17 |
Last Update Date | 2018-05-05 |