| NPI | 1386901676 |
|---|---|
| Former Name | JENNIFER A RUNKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SLP8037) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101008806) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2026-02-10 |