NPI | 1982176202 |
---|---|
Former Name | KAITLYN M CARTWRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 76949) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 14352) |
Enumeration Date | 2018-12-27 |
Last Update Date | 2018-12-27 |