| NPI | 1134568108 |
|---|---|
| Former Name | JANNA PEACOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP11652) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IN 46002459A) |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2018-03-17 |