| NPI | 1447660683 |
|---|---|
| Former Name | JESSICA DEWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1339n) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-11-03 |