| NPI | 1164707543 |
|---|---|
| Former Name | JENNIFER BADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 707-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3618) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2023-10-26 |