| NPI | 1396263596 |
|---|---|
| Former Name | JESSICA BEITZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 7525) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-04-13 |