| NPI | 1427589605 |
|---|---|
| Former Name | JESSICA LEA IRWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP21996) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |