| NPI | 1497908867 |
|---|---|
| Former Name | JENNY MARIE VAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 4093318) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2014-01-14 |