NPI | 1164997714 |
---|---|
Former Name | JENNIFER LYNN ZOMBOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61428206) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 12106319-4102) |
235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000288) | |
Enumeration Date | 2018-10-10 |
Last Update Date | 2024-05-03 |