| NPI | 1205129947 |
|---|---|
| Former Name | JEAN MARY JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS006054) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07747) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2015-08-07 |