NPI | 1194875203 |
---|---|
Former Name | JENNIFER LEIGH MULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12807) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006328) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2022-01-27 |