NPI | 1447944079 |
---|---|
Former Name | JESSICA LYNN GERARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2364) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010870) |
Enumeration Date | 2023-06-06 |
Last Update Date | 2023-06-06 |