| NPI | 1356593164 |
|---|---|
| Former Name | JENNIFER LYNN PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11306) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 12067160) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2024-10-23 |