NPI | 1770180861 |
---|---|
Former Name | CAITLIN TALBOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61192747) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF7185) |
Enumeration Date | 2020-10-02 |
Last Update Date | 2023-03-22 |