| NPI | 1578033932 |
|---|---|
| Former Name | JENNA TOLLEFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-04-27 |