| NPI | 1518518091 |
|---|---|
| Former Name | JESSICA JESSICA LANCASTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1745) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2021-04-06 |