| NPI | 1073824249 |
|---|---|
| Former Name | CAITLIN DUFAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO 0060188) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM RS2011-0397) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 46168) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 0060188) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 0060188) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2023-04-19 |