NPI | 1245614684 |
---|---|
Former Name | CAITLIN ELIZABETH CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12875) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60567476) |
Enumeration Date | 2015-07-15 |
Last Update Date | 2018-03-17 |