NPI | 1457707820 |
---|---|
Former Name | CAITLIN M. WILKEWITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006426) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 460002846A) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2023-09-06 |