NPI | 1013342963 |
---|---|
Former Name | JENNY STRONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP3839) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 3839) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2021-12-20 |