| NPI | 1992671069 |
|---|---|
| Former Name | CAITLYN NICOLE LIJEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-2310) |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |