| NPI | 1356594451 |
|---|---|
| Former Name | JILL MARIE BONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-10493) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 14355) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2018-08-25 |