NPI | 1134664766 |
---|---|
Former Name | JILLIAN DUNNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024827-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01279200) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2024-08-14 |