| NPI | 1477567675 |
|---|---|
| Former Name | JENNIFER RAE GREENE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 013565-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 02324358) |
| 251B00000X Case Management | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2016-01-26 |