| NPI | 1104505759 |
|---|---|
| Former Name | JENNIFER LISZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02726L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01298800) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011716) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-08-12 |