| NPI | 1326375015 |
|---|---|
| Former Name | STEPHANIE ANNE JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7555) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9245) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2022-09-28 |