| NPI | 1104315027 |
|---|---|
| Former Name | JESSICA COURY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-04-18 |