NPI | 1285001768 |
---|---|
Former Name | JENNIFER LAUREN VAMOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 114902) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2015-08-31 |
Last Update Date | 2018-09-21 |