| NPI | 1497975627 |
|---|---|
| Former Name | JANE MARIE CLEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 00171116) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2011-07-06 |