| NPI | 1053564211 |
|---|---|
| Former Name | CAITLIN MARIE WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004133) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019003-1) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2022-11-03 |