| NPI | 1184265969 |
|---|---|
| Former Name | JESSICA LYNN BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 1015911682) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4902) |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 9484) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |