| NPI | 1326661281 |
|---|---|
| Former Name | JESSICA MORET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010002) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000491) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-11-22 |