| NPI | 1487716171 |
|---|---|
| Former Name | JENNIFER KAY ERD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 005636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sa11634) |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2012-06-19 |