| NPI | 1366672644 |
|---|---|
| Former Name | JENNIFER D. TUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009597) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010299) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2022-07-21 |