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 |