NPI | 1346466000 |
---|---|
Former Name | JENNIFER LINDELL ANDRESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13174) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017185) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2022-09-07 |