NPI | 1114298742 |
---|---|
Former Name | JENNIFER PHIFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ13077) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5743) |
222Q00000X Developmental Therapist | |
Enumeration Date | 2012-01-12 |
Last Update Date | 2025-09-26 |