| NPI | 1427597475 |
|---|---|
| Former Name | CAITLIN COUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 63021264) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021264-1) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-01-22 |