| NPI | 1790184257 |
|---|---|
| Former Name | CAITLIN CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012075) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2021-10-29 |