| NPI | 1447604947 |
|---|---|
| Former Name | JENNIFER LOUISE KACZMAREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003657) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-01-23 |