NPI | 1508840943 |
---|---|
Former Name | JENNIFER ELIZABETH CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4768) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA ASHA 12059662) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2007-07-08 |