NPI | 1265663223 |
---|---|
Former Name | MICHELLE JENSCHKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105580) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2009-08-07 |
Last Update Date | 2020-05-28 |