| NPI | 1265823009 |
|---|---|
| Former Name | JESSICA MAE WOLFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13270) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13296) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2018-11-09 |