| NPI | 1780034355 |
|---|---|
| Former Name | CAITLYN MCSALLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5275) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5709) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2017-02-06 |