| NPI | 1982107645 |
|---|---|
| Former Name | KAITLYN MARIE GOODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-04-12 |