NPI | 1396390837 |
---|---|
Former Name | JENNIFER DIANNE MARTENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA11740) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2019-08-01 |