NPI | 1124219431 |
---|---|
Former Name | JESSICA LEIGH BRAMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006296) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7753) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2013-10-24 |