| NPI | 1013454784 |
|---|---|
| Former Name | CAITLIN WANKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 173465) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 3371) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2024-12-02 |