| NPI | 1063142297 |
|---|---|
| Former Name | JENNIFER MICHELE PATINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20499) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00739500) |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2023-03-30 |