NPI | 1538223433 |
---|---|
Former Name | JENNIFER MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 03480) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 001223) |
235Z00000X Speech-Language Pathologist, (Licence: MA 77906) | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2024-05-31 |