NPI | 1538772736 |
---|---|
Former Name | JENNIFER MARIE RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 118454) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000485) |
Enumeration Date | 2020-08-26 |
Last Update Date | 2022-08-12 |