| NPI | 1518421411 |
|---|---|
| Former Name | JESSICA SALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.13243) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP-13243) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2021-12-08 |