| NPI | 1053441832 |
|---|---|
| Former Name | JENNIFER LYNN WENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 015143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 16481) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-12-10 |