NPI | 1093914863 |
---|---|
Former Name | JENNIER MARIE FRAZIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA ll00004254) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR a32719) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2023-12-06 |